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<br />.tJO.D i.' 0 UlllaIlS <br /> <br />I ()()-..;,:; 0':; <br /> <br />VII I.,.V/ .1....1."/,,,/ ..l..l....J...............i. .~" <br /> <br />U.LICM'ICM woa ftIIIIII'l' <br />CI7I ~ IUaUlLU <br />MlIUlx.ll Dll7U~ <br /> <br />DAD UCJ:IWD <br />PLUS UVID nil <br /> <br />:'::=3~~<,od~~r-\'" (\\~~'~" <br /> <br />PHONE (~\~\\ ~ 2..- -"I ~o q <br /> <br />LEGAL DESCRIPTION I LOT(S) <br /> <br />BLOCI( <br /> <br />SU.DIVISIO" <br /> <br />PARCEL 10 II <br />IfORX PROPSEDI ONEIl' CONSTRUCTION <br /> <br />rnR'I'II.TN FROM .PIlnPr.RTY TII.X HOT I CII! 1 <br /> <br />o ADOITIOil <br /> <br />OALTEI\1\.71ON <br />o DEKOLIBH <br /> <br />o !\BlAIR <br /> <br />~IlSTALL <br /> <br />OSIGtI <br />PROPOSED USEI~L r~Lr DWELLING <br />o COMMEIICIAL <br /> <br />OHOVI!: <br /> <br />DMI1LTl-r~LY <br />a INDUSTRIAL <br /> <br />0, or UNITS <br />o 9WIJ+lING. 'OOL <br /> <br />o KOBILE HOM& <br />o OTIlJ:R <br /> <br />o III!:ST....UIWlT , HENrTH DEPMTt1DfT APPROVAl, <br />OESCRIl"1'Iaf or WORK (' he.. f\Q\L o..A L . S \7;0 ( \-\ \ p) 0., ( (..wi. 5"" ~~ <br /> <br />aUILDING SIZB <br /> <br />SQUAJU: fOOTAGE <br /> <br />HBIGHT <br /> <br />IU:SI DEN'TIAL: ATT....CH (2) PLOT PLANS, (2) nTS OF BUILDING PLANS, 111 SBT BNl!:~Y FO'lHS. <br />COMMERCIAL I ATTACH (3) SETS or IlUILDING PLANS , (1) B!:T ENERGY roRHS. <br />i'ROPER'l'Y SURVBY REOUllU!:D FOR ALL NEW CONSTRUCTION. <br /> <br /> PERMI'1'S UQUES'.rED <br />o BUILDING ~ VI'.LUI\.TION or TOTAL CONSTRUCTION <br />o ELECTRICAL AMP SERVICE 0 FLORIDA POWER 0 ..II.E.C. <br />~8ING 3\iSOb <br />MECHANICAL . VlI\LUAt'IOIf or HECHANCI AL IN STI'.LLI\.T ION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SnCIl'.LTY <br /> <br />o OTK!:R <br />o J'IWU: <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />TYPE or CONSTRUCTION I 0 8LOCK <br /> <br />fINISHED rLOOR ELEV....7IONS <br /> <br />IS PROJECT IN nOOD ZONE AJ\lA0 YES 0 HO <br /> <br />1".... '; .:.. <br />. .,- : ....'..1.. <br />.~ .\~.:: i: to" :J,,: ,,:. <br /> <br />":,'.l, <br /> <br />~ ..I " . <br /> <br />::_i~;_ <br /> <br />CClMl'MY <br />ST....TE CERT OR REGIlT . <br />CITY PROC&SSING I <br /> <br />~ <br /> <br />SIGNATURE <br /> <br />................*............~+................................... <br /> <br />SIGN"'TUU <br /> <br />COMPAN"t <br />ST^T& C.R~ OR UGIST I <br />CITY P~CZISI"G . <br /> <br />.~C1M <br /> <br />.................................................................. <br /> <br />COHPlIN.... <br />S'lAT. CERt' OR uaIn . <br />CITY PROCESSING . <br /> <br />~ <br />:JIGIV.TUU <br /> <br />~~ICAL ......*.Jj....~.......................~;;;~.. <br /> <br />~1 - STAT! CER'l OR UGUT . <br />SIGIIATUR!: ~ CITY PACCUIING . <br /> <br /> <br />~MC <br />00 <br /> <br />.............+..........***...*.................................. <br /> <br />CClMPlINY <br />STAT! CERT OR UGIST I <br />CITY PACCESSING . <br /> <br />0'IIIKJl <br /> <br />SIGNATURE <br /> <br />...........~.....~....A."'~.,I&A.*.t*t*.*...........*.......**.. <br /> <br />It <br />